Breast reconstruction post-operative handbook Essential information for patients
|
|
- Barnard Brooks
- 5 years ago
- Views:
Transcription
1 Breast reconstruction post-operative handbook Essential information for patients This handbook has been produced to provide you with specific post-operative information and practical advice following your breast surgery. Important advice to all surgical patients Please ensure you seek help and advice from the hospital, your GP, A&E or NHS Direct immediately if you begin to suffer with any of the following: Pain/swelling/heat in the calves Difference in leg shape/width from one leg to the other Shortness of breath If you have been asked to stop your Tamoxifen 4 weeks before having your surgery, you may re-start it again 2 weeks afterwards. Please be assured that this will not have a detrimental effect to your cancer treatment. Support garments Following your surgery we ask that you wear a soft, non-wired bra and supportive knickers/shorts (if necessary - depending on your surgery) for six weeks. Wear these for 23 hours a day (day and night); removing only for showering/dressing changes. Supportive knickers and shorts are worn to help prevent a seroma (see below) and provide support to your wounds and reconstruction. Occasionally, even if a surgical drain has been used, a patient may develop a seroma. This is a build up of blood-stained fluid which can collect under the skin either in the breast area or the donor site (where the tissue for the reconstruction has been taken). If it is small the doctors may leave it as it will normally disperse into your body within a month or two. If it is a large seroma causing discomfort/pain then treatment is required. This involves a doctor or a trained nurse to insert a fine needle and drain the fluid away. Images reproduced with the kind permission of Matalan Dressings Usually the dressings you are discharged with are simple steri-strips/micropore tape. Your dressings should remain in place until your dressing clinic/outpatients appointment (one week after discharge). At this appointment a nurse will check your wounds to make sure they are healing. Occasionally more than one follow up appointment may be needed. Page 1 of 8
2 Stitches Usually you will have dissolvable sutures/stitches that do not need to be removed, although they may take several weeks/months to fully dissolve. Occasionally, as they dissolve they poke out of the skin and irritate slightly. If this happens the nursing staff can trim them for you in your clinic appointment/gp surgery. If for any reason non-dissolvable stitches were used, the nursing staff will arrange for them to be removed either at the Dressing Clinic or at your GP surgery by your Practice Nurse. Wound care The ward nursing staff will advise you whether or not your dressings are waterproof. If you have been informed that you are able to shower with the dressings in place you must ensure they are completely dry before replacing your supportive garments (bra/knickers/shorts). You can pat the dressings dry with a clean towel; leave them to dry in the air or use the cool setting on your hairdryer to dry them. You must ensure you have tested the hairdryer on the inside of one of your forearms before use and hold it approximately 10cm away from your body. You may have a loss of sensation or be completely numb in your breast and donor areas (back, abdomen, and groin/inner thigh) and therefore you are at risk of burning yourself. We advise that you use non-scented toiletries and avoid using sprays, bubble bath or aerosol deodorants on or near the wound for about two weeks. You may return to using your usual soaps and toiletries once the area has fully healed. Analgesia (pain-relief) You will have been given oral analgesia when you were discharged. It is important that you take pain-relief on a regular basis for the first week after you have been discharged. Missing doses will reduce the build-up effect and potentially cause break through pain which is harder to control. Please read medication instructions carefully and if you are unsure of doses please contact the ward or pharmacy. Some pain medication can cause constipation and drinking plenty of fluids and eating fresh fruit and vegetables may help prevent this. QVH Patient Medication Helpline Tel: Dalteparin and anti-embolism stockings All breast patients who are having a general anaesthetic will receive a pair of antiembolism stockings to wear 23 hours a day (removing only for washing) and a bloodthinning injection called Dalteparin every night you are in hospital. These are given to prevent a blood clot forming in either the legs (DVT) or lungs (PE). MS TRAM, DIEP and TUG Due to the slight increased risk of blood clots following a free-flap breast reconstruction (MS-TRAM, DIEP or TUG), patients will receive a seven day supply of Dalteparin on discharge to self-administer at home. Page 2 of 8
3 You will be instructed to wear your stockings for three weeks after you are discharged. Instructions on administering the injections will be given by the ward nurses during admission. If you do not feel able to self-administer your injections, please ensure you inform a nurse ASAP so other arrangements can be made for you. Activities The rate in which you can return to most of your normal activities varies from two weeks to three months. This depends on which surgery you have had and how you recover. You may be given exercise sheets whilst you are an inpatient. At the end of this booklet you will find activity examples for the different types of breast surgery. Appendix 1 - MS TRAM, DIEP, LD & TUG Appendix 2 - Tissue expander, breast reduction, implants and mastopexy Remember we are all different and our recovery milestones may vary from patient to patient and these are to be used as a guide only. Diet We recommend that you eat a healthy well balanced diet to aid wound healing. A dietician is available to offer advice should you need it. Smoking Smoking and passive smoking has a proven adverse effect on wound healing. Nicotine reduces the ability of the blood to carry enough oxygen to the tissues and the skin causing wound break down and delayed healing. Returning to work If required, the doctors on the ward can provide you with a social security and sick pay statement of fitness to work (sick certificate) for up to two weeks. When the decision is made for you to be discharged, please notify the doctor or nurse during the ward round if you need one. Your GP will be informed of the surgery you have had and can take over extending your absence if necessary. Depending on the type of breast surgery you have had you may be able to return to work sometime between two and eight weeks following your operation, major reconstructions may take longer than this. This is dependent on how you feel, the type of work you do and the operation you have had. You may wish to consider and discuss with your employer a phased return and start with shortened working hours, gradually building up. Psychological impact The majority of patients are pleased with the results of their surgery. Occasionally women feel very anxious about their treatment or have difficulty coming to terms with their new look because their breasts are not as they had imagined they would be or as a result of a complication. If you feel very anxious, worried about your treatment or depressed please speak to the nurses. If you would like information about the psychological therapy service offered please speak to the psychological councillors or Macmillan breast reconstruction nurse specialists. Symmetrising surgery Although you will be keen to move on to the next stage of your reconstructive journey it is important to leave a certain amount of time between surgeries to guarantee adequate Page 3 of 8
4 wound healing and to ensure your reconstruction has had time to settle. The decision to place you on the waiting list for follow up procedures will be made by your consultant in a follow-up out-patient appointment. Important People heal at different rates, so do not worry if your think your recovery is much slower than you expected. Take into consideration your current medical health, your diet and whether you smoke, as these factors can all affect the rate at which your wounds heal. If you notice any redness, heat or swelling, or develop any discharge from the wound(s) or if you feel unwell and develop a temperature, please contact the hospital for advice. Contact numbers are at the back of this booklet. Scar massage Scars take approximately months to mature (i.e. become flatter, paler and softer). They are fragile and can be easily damaged if knocked. They often change in colour, dependent on the temperature. Scarred skin can become thick and lumpy as it is often unable to produce its own oil or sweat. You may find your scar becomes dry and itchy. Massaging your scar daily is therefore essential. It helps to soften the scar, prevent skin breakdown, improve appearance and stop it sticking to underlying structures, thereby reducing movement. You should massage the scar line in both circular movements using your fingertips and also in movements straight across the scar. Lubricate using a non-perfumed moisturising cream, such as E45. You should start gently to get used to the massage but as soon as possible you should apply enough pressure to blanch or lighten the scar. If you are unsure please ask a nurse/physiotherapist or doctor to demonstrate. You should carry out scar massage 3 to 4 times a day for 5 to 10 minutes each time. Try to build it into your normal daily routine. Please continue until the scars are soft, pale and flat. Scars can be sensitive and will burn easily. Total sun block must be used for up to two years over the scar. Mastectomy If you have had a mastectomy as part of your cancer treatment, you will receive an appointment with your referring hospital approximately two weeks post-operatively; this appointment will be to receive the results of the tissue removed during surgery. Lymphoedema If your surgery involved taking some or all of the lymph nodes under your armpit, then you need to be aware this may affect the lymphatic system. The lymphatic system is made up of lymphatic vessels (similar to blood vessels) and lymphatic nodes (glands) which can be found in the neck, armpit and groin. This system forms part of your immune system and helps to deal with infection. It is responsible for cleansing your tissues and maintaining a balance of fluids in your body. People with lymphoedema are more susceptible to infection because infection-fighting white blood cells (lymphocytes) are carried in the lymphatic system. Page 4 of 8
5 Lymphoedema is a swelling caused by a build-up of lymph fluid in the tissues. This buildup is a result of damage to the lymphatic system because of surgery or radiotherapy to the lymph nodes in the armpit. This can occur immediately, or develop later. Lymphoedema is a chronic (long-term) condition and can affect people in different ways. The most common symptom is swelling in the arm (sometimes including the hand and fingers); but can also occur in the chest/breast or shoulder area. Your skin may feel stretched and you may find it uncomfortable to move your arm, in some people the arm feels heavy and aches. If you notice any swelling in your hand, arm, fingers or chest- please tell a breast care nurse, your GP or hospital specialist as soon as possible. They will be able to rule out other reasons for swelling and confirm lymphoedema. You will then be referred to a lymphoedema specialist. Symptoms of lymphoedema are not curable but they do respond well to treatment and can be controlled. This can be done by looking after your skin, exercising and, if needed, wearing an elastic compression stocking/sleeve. In some cases a particular type of massage can be used- this must be carried out by a specially trained therapist. Important Following removal of some/all of the lymph nodes in your armpit (axilla) you should avoid the arm on the side of your surgery being used for taking blood pressure, having injections, taking of blood or acupuncture. Regularly observe for any signs of infection (redness, pain, warmth, sudden swelling and fever) and contact your GP immediately who will prescribe antibiotics. What can you do to help yourself? Use a moisturiser daily to keep your skin supple Take care when cutting/filing nails Protect your skin from sunburn- always uses a sunscreen with a high sun protector (SPF) Reduce the risk of insect bites/stings by using repellents Treat scratches, cuts or bites promptly with an antiseptic cream Wear gloves to protect your hands when gardening/washing up Avoid very hot baths or showers Take care when removing unwanted under arm hair. The safest way is to use an electric razor or depilatory cream Avoid constriction from tight bra straps, sleeves, watches, rings or heavy shoulder bags Avoid heavy lifting/strenuous activities and repetitive energetic movements such as step ladders/washing/paintwork/decorating When flying or travelling by coach/car move your arm regularly - clenching and unclenching your fist aids fluid return, keep well hydrated & wear loose clothing. Try to take regular gentle exercise such as swimming Page 5 of 8
6 Sometimes no matter how careful you are lymphoedema can still occur and daily skin care is a lifelong commitment Bra measurement We recommend that, three months following your breast surgery, you have a professional bra fitting undertaken. This service is provided by most department stores. It is likely that at this stage you will have a change in size due to the decreased swelling/bruising and natural droop of your tissue; therefore it is important that your bra is well-fitting and provides you with adequate support. After you are fully healed you may wish to start wearing under-wired bras/ bras of a different shape and this is perfectly safe to do so. If you are unsure ask your surgeon or nurse. Should you have any further questions or need advice or information, please do not hesitate to contact the Macmillan breast reconstruction nurse specialists. Softies and Nipples following reconstruction Following your breast reconstruction you may have some breast asymmetry, if you are conscious about this please ask a nurse to provide you with a temporary soft prosthesis called a Softie. This can be used until your wounds have fully healed and you either have further symmetrising surgery or can be fitted for permanent shell prosthesis. You can have some stick-on prosthetic nipples to wear if you would like, please ask one of the Macmillan breast reconstruction nurse specialists for some if you have not been provided with them on discharge. Useful contact information Should you have any further questions or need further advice or information please do not hesitate to contact the hospital. Macmillan Breast Reconstruction Nurse Specialists Tel: or (answer machine available) Plastics Dressing Clinic (PDC) Tel: Margaret Duncombe Ward Tel: Ross Tilley Ward Tel: Hospital Switchboard Tel: Appointments Tel: Pharmacy Tel: Psychological Therapies Tel: For emergencies out of hours, please call switchboard on and ask to speak to the plastic surgery doctor on call. Please ask if you would like this leaflet in larger print or an alternative format. Macmillan Breast Reconstruction Nurses BCN1401 Approved by the Patient Information Group Issue 1 - Ref: no Print October 2014 Review October 2017 Page 6 of 8
7 Appendix 1 Activity/ week Activity advice following breast reconstruction surgery (MS TRAM, DIEP, LD & TUG) This activity chart is a general guide to increasing your activities Try to get some rest every day in the early stages of your recovery Physio Exercises ## Dusting Driving Swimming (once wound has fully healed) Vacuuming washing/ laundry shopping Sex lifting Aerobic exercise gardening 1 Yes No No No No No No No No No No No 2 Yes No No No No No No No No No No No 3 Yes Yes No No No No No No No No No No 4 Yes Yes No No No No No * With caution No No No? 5-6 Yes Yes * With Yes ^^ caution/ TUG flap no No No No Varies as breaststroke legs comfortable No No No? 7-8 Yes Yes Yes Yes Yes Yes Yes Yes Yes No No? 9-10 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes? Work ## advised by your physiotherapist and accompanying leaflet. ^^ Varies with the type of operation. Contact your insurance company to ensure your cover is valid at this stage of your recovery.? The type of operation and the kind of work you do will both effect how soon you can return to work. Your GP will be able to advise you. * TUG flap no (knees together for 6 weeks) Page 7 of 8
8 Appendix 2 Activity/ week Activity advice following breast surgery (Tissue expander, breast reduction, implants and mastopexy) This activity chart is a general guide to increasing your activities. Try to get some rest every day in the early stages of your recovery. Physio Exercises ## Dusting Driving Swimming (once wound has fully healed) Vacuuming washing/ laundry shopping Sex Lifting toddlers Aerobic exercises Gardening 1 Yes No No No No No No No No No No No 2 Yes No No No No No No No No No No No 3 Yes Yes ^^ No No No No Varies Comfortable No No No? 4 Yes Yes ^^ No Varies Comfortable Comfortable Comfortable Comfortable Comfortable Comfortable Comfortable? 5-6 Yes Yes ^^ Yes Varies Comfortable Comfortable Comfortable Comfortable Comfortable Comfortable Comfortable? 7-8 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes? 9-10 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes? Work ## advised by your physiotherapist and accompanying leaflet. ^^ Varies with the type of operation. Contact your insurance company to ensure your cover is valid at this stage of your recovery.? The type of operation and the kind of work you do will both effect how soon you can return to work. Your GP/Consultant will be able to advise you. Page 8 of 8
Going Home After a Mastectomy
Going Home After a Mastectomy This booklet was published in May 2002 by The Dudley Group of Hospitals NHS Foundation Trust. For more information, contact a staff member on your admitting ward (see accompanying
More informationBreast surgery aftercare advice (wide local excision of the breast with full axillary lymph node removal)
Breast surgery aftercare advice (wide local excision of the breast with full axillary lymph node removal) Breast Care Service Patient Information Leaflet Introduction This booklet is designed to provide
More informationGoing Home After a Wide Local Excision of the Breast
Going Home After a Wide Local Excision of the Breast This booklet was published in May 2002 by The Dudley Group of Hospitals NHS Foundation Trust. For more information, contact a staff member on your admitting
More informationBreast surgery aftercare advice (wide local excision of the breast and a sentinel lymph node biopsy)
Breast surgery aftercare advice (wide local excision of the breast and a sentinel lymph node biopsy) Breast Care Unit Patient Information Leaflet Introduction This booklet is for women who have had breast
More informationAxillary Node Clearance
Axillary Node Clearance Important information for patients www.mchft.nhs.uk We care because you matter Axillary Node Clearance The operation you are due to have is an axillary node clearance. This booklet
More informationNon-cancer related bilateral mastectomy pre-operative information sheet
Non-cancer related bilateral mastectomy pre-operative information sheet This leaflet explains more about non-cancer related bilateral mastectomy surgery, including the benefits, risks and any alternatives
More informationBreast Tissue Expansion
Breast Tissue Expansion You have been referred to this hospital for consideration of reconstructive surgery using a tissue expander implant. We have produced this leaflet to try to answer some of the questions
More informationDischarge Advice Following Breast Reconstructive Surgery
Oxford University Hospitals NHS Trust Discharge Advice Following Breast Reconstructive Surgery Information for patients This leaflet contains answers to some of the questions people most often ask when
More informationNorthumbria Healthcare NHS Foundation Trust. Your guide to Recovery from Breast Surgery. Issued by the Breast Team
Northumbria Healthcare NHS Foundation Trust Your guide to Recovery from Breast Surgery Issued by the Breast Team This leaflet is to provide you with information and practical advice following your stay
More informationDeep Inferior Epigastric Perforator Flap Reconstruction (DIEP) (1 of 7)
i If you need your information in another language or medium (audio, large print, etc) please contact Customer Care on 0800 374 208 or send an email to: customercare@ salisbury.nhs.uk You are entitled
More informationGoing home with a redivac drain after surgery
Going home with a redivac drain after surgery This leaflet explains about going home with a redivac drain following your surgery. If you have any further questions, please speak to the nurse or doctor
More informationGoing home after having a lumpectomy and axillary surgery
Going home after having a lumpectomy and axillary surgery This leaflet explains more about returning to your everyday activities after your lumpectomy (also called a wide local excision) and axillary surgery.
More informationGeneral advice for going home after breast surgery
General advice for going home after breast surgery Introduction Recovery after surgery involves healing, both physically and emotionally, and the time this takes varies from person to person. There is
More informationPreparing for your breast reduction or mastopexy operation
Preparing for your breast reduction or mastopexy operation This leaflet explains more about breast reduction surgery and mastopexy surgery, including the benefits, risks and any alternatives and what you
More informationPatient information. Axillary Node Surgery (Operations on the Armpit) Breast Directorate PIF 1370 V3
Patient information Axillary Node Surgery (Operations on the Armpit) Breast Directorate PIF 1370 V3 What is Axillary Node Surgery? As part of any breast cancer operation the surgeon will usually remove
More informationWhat is Latissimus Dorsi Flap Breast Reconstruction?
What is Latissimus Dorsi Flap Breast Reconstruction? Information for patients from General Surgery and Cancer Services This leaflet is for women having breast reconstruction at the same time as, or following,
More informationAbout your PICC line. Information for patients Weston Park Hospital
About your PICC line Information for patients Weston Park Hospital This booklet explains what a PICC line is, how it is inserted and some general advice on its use and care. What is a PICC line? A Peripherally
More informationPatient information. Breast Reconstruction TRAM Breast Services Directorate PIF 102 V5
Patient information Breast Reconstruction TRAM Breast Services Directorate PIF 102 V5 Your consultant has recommended that you have a TRAM flap to reconstruct your breast. TRAM stands for Transverse Rectus
More informationThe operation will take several hours and you will stay in the recovery room until you are ready to return to the ward.
This booklet is designed to give you information about having a free flap following a lower limb injury. We hope it will answer some of the questions that you, or those who care for you, may have at this
More informationAxillary Node Dissection
Axillary Node Dissection Breast Care Centre Information for patients Name of Consultant: Date of surgery: Key worker: Direct line: 0116 250 2513 Monday - Friday 9 am - 4.30 pm (except Bank Holidays) What
More informationSplit thickness skin grafts
Split thickness skin grafts This leaflet explains more about returning to your everyday activities after your split thickness skin graft. If you have any further questions, please speak to a doctor or
More informationSentinel Node Biopsy for Breast Cancer
Sentinel Node Biopsy for Breast Cancer Breast Care Centre Information for Patients Name of Consultant: i... Date of surgery:... Key worker:... Direct line: 0116 250 2513 Monday - Friday 9 am - 4 pm (except
More informationPancreaticoduodenectomy enhanced recovery programme (PD ERP) Information for patients
Pancreaticoduodenectomy enhanced recovery programme (PD ERP) Information for patients Welcome to the pancreaticoduodenectomy enhanced recovery programme (PD ERP). The aim of the programme is for you to
More informationLaparoscopic (keyhole) hysterectomy: The enhanced recovery programme
INFORMATION FOR PATIENTS Laparoscopic (keyhole) hysterectomy: The enhanced recovery programme A hysterectomy means removal of the womb. The fallopian tubes and ovaries can be removed at the same time if
More informationEnhanced Recovery Programme for total hip and knee replacement Orthopaedic Department Patient Information Leaflet
Enhanced Recovery Programme for total hip and knee replacement Orthopaedic Department Patient Information Leaflet What is the Enhanced Recovery Programme? This leaflet aims to give you information on what
More informationEnhanced recovery after oesophagogastric surgery (EROS) Patient information and advice
Enhanced recovery after oesophagogastric surgery (EROS) Patient information and advice Welcome to the enhanced recovery programme. The aim of the programme is to enable you to be well enough to go home
More informationExcision of Submandibular Gland
Patient information Excision of Submandibular Gland Ear, Nose and Throat Directorate PIF 863 V5 Your consultant has advised that you have excision of submandibular gland. What is excision of submandibular
More informationGoing Home After Thoracic or Lung Surgery. Information to support you and your family during your recovery
Going Home After Thoracic or Lung Surgery Information to support you and your family during your recovery Recovery Advice Line Tel: 0151 600 1056 24 hours / 7days per week Cedar Ward Tel: 0151 600 1166/1167
More informationYou and your Totally Implanted Vascular Access Device (TIVAD) - Portacath
You and your Totally Implanted Vascular Access Device (TIVAD) - Portacath Nursing A guide for patients and carers Contents What is a TIVAD?... 1 Why is a TIVAD necessary?... 2 How a TIVAD is inserted...
More informationDay Case Unit/ Treatment Centre. Varicose Veins
Day Case Unit/ Treatment Centre Varicose Veins What are varicose veins? When the superficial veins in the leg become enlarged and distorted they are said to be varicosed. They are often found in people
More informationHickman line insertion in the interventional radiology department
Hickman line insertion in the interventional radiology department This leaflet explains more about what a Hickman line is, how it is inserted into the body and why your doctor has recommended this for
More informationPartial glossectomy. Your operation explained. Information for patients Head and Neck Centre
Partial glossectomy Your operation explained Information for patients Head and Neck Centre page 2 of 12 This leaflet provides information about the procedure known as partial glossectomy. It explains what
More informationRecovering from a hip fracture following an accident
South Tyneside NHS Foundation Trust Recovering from a hip fracture following an accident Providing a range of NHS services in Gateshead, South Tyneside and Sunderland. What is a hip fracture? The hip joint
More informationLaparoscopic partial nephrectomy
Laparoscopic partial nephrectomy This leaflet is written to give you information and answer questions you may have about your surgery. If you have any further questions, please speak to your doctor or
More informationSentinel node biopsy. Patient Information to be retained by patient
PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Sentinel Node Biopsy What is a sentinel node biopsy? The lymphatic drainage from your
More informationSpecialist Surgery Inpatients Breast Reconstruction Surgery Information for patients
Specialist Surgery Inpatients Breast Reconstruction Surgery Information for patients Your hospital stay This leaflet has been written to give you information about your surgery and what will happen during
More informationTHE ROY CASTLE LUNG CANCER FOUNDATION
Surgery for lung cancer How will it be decided if I am suitable for surgery? Successful surgery for lung cancer, with the chance of cure, may only be possible after the surgeon has considered the following
More informationBowel Surgery Panproctocolectomy Your operation explained
Bowel Surgery Panproctocolectomy Your operation explained Introduction This information is for people considering having a Panproctocolectomy operation. It explains what is involved and some possible problems
More informationEnhanced recovery after laparoscopic surgery (ERALS) programme. Patient information and advice
Enhanced recovery after laparoscopic surgery (ERALS) programme Patient information and advice Welcome to the enhanced recovery programme. The aim of the programme is to enable you to be well enough to
More informationGeneral information about radiotherapy
General information about radiotherapy This information sheet is a general guide to radiotherapy. The treatment and side effects you have from radiotherapy will vary depending on which part of your body
More informationDepartment of Colorectal Surgery Pilonidal Sinus Operation
What is a pilonidal sinus? Department of Colorectal Surgery Pilonidal Sinus Operation A pilonidal sinus is an inflamed sinus tract (or tracts, as there can be more than one) which leads to a cavity under
More informationThoracic Surgery Unit Information for Patients Having an Examination of the Lymph Glands Inside the Chest
Thoracic Surgery Unit Information for Patients Having an Examination of the Lymph Glands Inside the Chest Cervical Mediastinoscopy (often simply Mediastinoscopy ) The following information has been prepared
More informationHaving a sentinel lymph node biopsy and wide excision for melanoma
Having a sentinel lymph node biopsy and wide excision for melanoma This leaflet has been given to you to help answer questions you may have about sentinel lymph node biopsy and wide excision. It explains
More informationAdvice following carpal tunnel release surgery. Information for patients The Sheffield Hand Centre
Advice following carpal tunnel release surgery Information for patients The Sheffield Hand Centre page 2 of 8 Why have I been given this leaflet? You have been given this leaflet as you have had an operation
More informationBowel Surgery Hartmann s Procedure Your operation explained
Bowel Surgery Hartmann s Procedure Your operation explained Introduction This information is for people considering having a Hartmann s Procedure operation. It explains what is involved and some possible
More informationLowe Plastic Surgery (LPS) Dr Lowe s: Breast Reconstruction Instruction Summary Pre-operative: Hospital Stay: Day of Discharge: , (405)
Lowe Plastic Surgery (LPS) Dr Lowe s: Breast Reconstruction Instruction Summary Pre-operative: 1) Patient should not eat anything after midnight, and hold medicines if instructed 2) Avoid aspirin, blood
More informationPatient Diary. Enhanced Recovery After Surgery (ERAS) Total Knee Replacement. Helping patients get better sooner after surgery.
Contact numbers If you need any support or advice before or after surgery please do not hesitate to call us. Claire Ward enhanced recovery nurse (Monday Friday 8-4) 07816448518 Ward 12B 01494426398 How
More informationLaparoscopic Radical Nephrectomy
Urology Department Laparoscopic Radical Nephrectomy Information Aims of this leaflet To give information on the intended benefits and potential risks of kidney surgery To guide you in the decisions you
More informationBreast Enlargement (augmentation)
Patient information Breast Enlargement (augmentation) Golden Jubilee National Hospital Agamemnon Street Clydebank, G81 4DY (: 0141 951 5000 www.nhsgoldenjubilee.co.uk Reviewed: May 2015 Next review: May
More informationGuidance on the Enhanced Recovery Programme in Colorectal Surgery Surgery Patient Information Leaflet
Guidance on the Enhanced Recovery Programme in Colorectal Surgery Surgery Patient Information Leaflet Originator: Mr Raj Patel Date: May 2011 Version: 2 Date for Review: May 2014 DGOH Ref No: DGOH/PIL/00364
More informationBreast Reconstruction Surgery: Tissue Transfer
Breast Reconstruction Surgery: Tissue Transfer Information for Patients & Family about: PEDICLE or FREE TRAM DIEP SGAP Latissimus Dorsi TUG SIEA Flaps What is Tissue Transfer Breast Reconstruction? A flap
More informationCare of Your Peripherally Inserted Central Catheter
Care of Your Peripherally Inserted Central Catheter A guide for patients and their carers Acute Oncology Patient Information Leaflet Contents Information for patients: What is a PICC? How is it put in?
More informationYour operation and recovery
Your operation and recovery This booklet is for anyone going into hospital for breast cancer surgery. It covers what to expect before your admission to hospital, during your stay, when you have returned
More informationThe Gynaecology Ward, The Women s Centre. Minor Surgery. Your nursing care, recovery, and getting back to normal
The Gynaecology Ward, The Women s Centre Minor Surgery Your nursing care, recovery, and getting back to normal Contents Admission 3 Medicines 3 Visiting Hours 3 Patientline 3 Preparation for your operation
More informationHip fracture - DHS. Your broken hip joint - some information
Page 1 Hip Fracture - DHS Your broken hip joint - some information These notes give a guide to your stay in hospital. They also give an idea about what it will be like afterwards. They do not cover everything.
More informationEnhanced Recovery Programme for Nephrectomy (Kidney Removal)
Enhanced Recovery Programme for Nephrectomy (Kidney Removal) This information leaflet will explain what will happen when you come to the hospital for your operation. The enhanced Recovery Programme is
More informationLiposuction (liposculpture or lipoplasty)
Patient information (liposculpture or lipoplasty) Golden Jubilee National Hospital Agamemnon Street Clydebank, G81 4DY (: 0141 951 5000 www.nhsgoldenjubilee.co.uk Reviewed: May 2015 Next review: May 2016
More informationTaking care of yourself after breast reconstruction surgery
Taking care of yourself after breast reconstruction surgery Table of contents Page Pain management... 1 Antibiotics... 1 Follow-up appointment... 1 Home care... 2 Instructions for nurse to remove drains...
More informationHaving an open partial nephrectomy
Having an open partial nephrectomy The aim of this information sheet is to help answer some of the questions you may have about having part of your kidney removed using conventional open surgery this is
More informationPeripherally inserted central catheter (PICC line) Information to accompany consent
Peripherally inserted central catheter (PICC line) Information to accompany consent Exceptional healthcare, personally delivered What is a PICC line? PICC stands for peripherally inserted central venous
More informationInsertion of a ventriculo-peritoneal or ventriculo-atrial shunt
Department of Neurosurgery Insertion of a ventriculo-peritoneal or ventriculo-atrial shunt Information for patients Shunt surgery This leaflet explains what to expect when you are in hospital and during
More informationEnhanced Recovery Programme
Enhanced Recovery Programme Page 14 Contact details South Tyneside NHS Foundation Trust Harton Lane South Shields Tyne and Wear NE34 0PL For advice please contact ward 1 on 4041001 Or ward 3 on 0191 4041003.
More informationINFORMATION FOR PATIENTS WHO ARE PREPARING FOR LUNG RESECTION SURGERY
St James s Hospital Department of Cardiothoracic Surgery INFORMATION FOR PATIENTS WHO ARE PREPARING FOR LUNG RESECTION SURGERY R 255 JULY 2014 CONTENTS Your lungs and how they work...1 Why do I need surgery?...1
More informationLiving with an implantable loop recorder
Living with an implantable loop recorder An implantable loop recorder is a small device implanted under the skin on your chest that records the electrical signal from your heart. This leaflet explains
More informationParent/Carer Information Leaflet
Circumcision Children s Ward Parent/Carer Information Leaflet Introduction Your doctor has recommended that your son has a circumcision. This means that your son will have the foreskin removed from his
More informationHaving a Day Case TRUS Biopsy (General Anaesthetic) Department of Urology Information for patients
Having a Day Case TRUS Biopsy (General Anaesthetic) Department of Urology Information for patients i The prostate The prostate is a small gland, which is found only men. It is found at the base of the
More informationMeatoplasty/canalplasty
Meatoplasty/canalplasty What is a meatoplasty/canalplasty and why do I need this operation? This operation is performed to widen your ear canals so that they do not get blocked with wax and debris. It
More informationYour child s minor operation under a general anaesthetic. Information for parents and carers
Your child s minor operation under a general anaesthetic Information for parents and carers The problem that is being treated:... Your child s doctor will discuss your child s condition with you and why
More informationMorton s neuroma. If you have any further questions, please speak to a doctor or nurse caring for you.
Morton s neuroma This leaflet aims to answer your questions about having surgery for Morton s neuroma. It explains the benefits, risks and alternatives, as well as what you can expect when you come to
More informationBreast cancer treatment
Breast cancer treatment Patient details Name: Hospital Number: Consultant Surgeon: Breast Care Nurse Specialist/Key Worker: Pre-Assessment Date: Time: At: Entrance: Admission Details: Contents Section
More informationPeripherally Inserted Central Catheter (PICC)
Peripherally Inserted Central Catheter (PICC) Intravenous Therapy Patient information leaflet What is a PICC? A PICC is a very fine flexible tube measuring 50 60 cm in length. It is placed in a vein in
More informationMidline. Intravenous Therapy. Patient information leaflet
Midline Intravenous Therapy Patient information leaflet 2 What is a Midline? This is a very fine flexible tube (up to 20cm length) inserted into a vein in your arm. The tip is in the vein just below your
More informationNorth East LHIN HELPING YOU HEAL. Your Guide to Wound Care. Pilonidal Cysts
North East LHIN HELPING YOU HEAL Your Guide to Wound Care Pilonidal Cysts 310-2222 www.nelhin.on.ca WOUND SELF MANAGEMENT PROGRAM THE PROGRAM This booklet will help you: Manage your wound at home Improve
More informationUrology Enhanced Recovery Programme: Laparoscopic/open simple/radical/partial/donor nephrectomy. Information For Patients
Urology Enhanced Recovery Programme: Laparoscopic/open simple/radical/partial/donor nephrectomy Information For Patients 2 This information leaflet aims to help you understand the Enhanced Recovery Programme
More informationInformation about Your Lung Operation
Information about Your Lung Operation Contents Introduction 2 Page What operation might I need? 2 Before your Operation 4 The Night before your Operation 6 The Day of your Operation 6 After your Operation
More informationHaving a portacath insertion in the x-ray department
Having a portacath insertion in the x-ray department This leaflet provides information about a portacath insertion, including the benefits, risks and any alternatives. It also explains what you can expect
More informationAbout your peritoneal dialysis catheter. Information for patients Sheffield Kidney Institute (Renal Unit)
About your peritoneal dialysis catheter Information for patients Sheffield Kidney Institute (Renal Unit) Introduction You will have discussed with your doctor that your kidney condition means that you
More informationUniversity College London Hospitals (UCLH) Preventing venous thromboembolism (VTE)
University College London Hospitals (UCLH) Preventing venous thromboembolism (VTE) Information for adult inpatients and for patients due to be admitted If you need a large print, audio, braille, easy read
More informationInformation for patients receiving long term hormone treatment and radiotherapy for prostate cancer
Information for patients receiving long term hormone treatment and radiotherapy for prostate cancer Northern Centre for Cancer Care (NCCC) Freeman Hospital Introduction This leaflet has been written to
More informationkidney bladder prostate Reproduced with kind permission of Health Press Ltd, Oxford
Patient Information Radical Nephrectomy for Renal Cancer Department of Urology What is a radical nephrectomy? Removal of the kidney. Sometimes it is necessary to remove the adjoining adrenal gland and
More informationTenckhoff Catheter Insertion
Tenckhoff Catheter Insertion Information for patients with chronic kidney disease (CKD) who have chosen to have peritoneal dialysis Renal Directorate Produced: May 2010 Review date: May 2012 This leaflet
More informationGoing home after breast surgery with drains
Going home after breast surgery with drains Information for patients and families Princess Margaret Read this resource to learn: How to care for yourself when you go home What activities you can do while
More informationCaring for Your Surgical Wound after Caesarean Section
Caring for Your Surgical Wound after Caesarean Section Families Division Patient Information Leaflet Options available If you d like a large print, audio, Braille or a translated version of this leaflet
More informationInsertion of a Hickman Line Information for parents and carers
Oxford University Hospitals NHS Trust Children s Hospital, Kamran s Ward Insertion of a Hickman Line Information for parents and carers This leaflet explains: what a Hickman line is why one is necessary
More informationOvarian Tumor Reduction Surgery
PATIENT EDUCATION patienteducation.osumc.edu Information About Your Your doctor found a mass in your pelvic area. Surgery is used to remove the pelvic mass and to find out if the tissue is benign (not
More informationHernia. Information for patients General Surgery
Hernia Information for patients General Surgery page 2 of 8 What is a hernia? A hernia is a bulge or weakness in the muscles which form the front of the body wall. They are very common and easily treated,
More informationPercutaneous nephrolithotomy (PCNL)
Percutaneous nephrolithotomy (PCNL) This leaflet explains more about the PCNL procedure to clear kidney stones, including the benefits, risks and any alternatives and what you can expect when you come
More informationAbout Your Colectomy
UW MEDICINE PATIENT EDUCATION About Your Colectomy How to prepare and what to expect This handout explains a colectomy operation, including how to prepare for surgery, what to expect afterward, recovering
More informationSkin Tunnelled Catheter (STC), also known as Central line
Skin Tunnelled Catheter (STC), also known as Central line Intravenous Therapy Department Patient information leaflet What is a skin tunnelled catheter? A skin tunnelled catheter (STC) is a long flexible
More informationEnhanced recovery programme in head and neck Patient information
Enhanced recovery programme in head and neck Patient information What is enhanced recovery programme? The Enhanced Recovery Programme (ERP) is a way of making sure that you receive the best preparation
More informationYour varicose vein operation
Day Surgery Centre Your varicose vein operation patientinformation Rotherham Hospital Your health, your choice, our passion Your varicose vein operation This booklet gives a guide to your day case varicose
More informationAbdominal Surgery. Beyond Medicine. Caring for Yourself at Home. ilearning about your health
ilearning about your health Abdominal Surgery Caring for Yourself at Home www.cpmc.org/learning Beyond Medicine. Table of Contents Your Checklist for Going Home...3 Arranging Transportation Home...3 Making
More informationLocal Anaesthesia for your eye operation. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Local Anaesthesia for your eye operation An information guide Local Anaesthesia for your eye operation Introduction You and your doctor
More informationLaparoscopic Radical Prostatectomy
To learn about prostatectomy surgery, you will need to know what these words mean: The prostate is the sexual gland that makes a fluid that helps sperm move. It surrounds the urethra at the neck of the
More informationYou will be having surgery to remove a the distal or tail part of your pancreas.
Distal pancreatectomy You will be having surgery to remove a the distal or tail part of your pancreas. This handout will help you learn about the surgery, how to prepare for surgery and your care after
More informationHaving a blue light cystoscopy
Having a blue light cystoscopy The aim of this information sheet is to help answer some of the questions you may have about having a blue light cystoscopy. It explains the benefits, risks and alternatives
More informationEnhanced recovery programme
Enhanced recovery programme Colorectal surgery Information for patients Colorectal Surgery Please bring this booklet with you to your Pre-operative Assessment appointment; when you are admitted to hospital
More informationHaemorrhoidectomy. Information for day surgery patients
Haemorrhoidectomy Information for day surgery patients This booklet explains haemorrhoids, the symptoms and why a procedure is undertaken. An explanation of the benefits, alternatives, consent and the
More informationElective Colorectal Surgery Enhanced Recovery Patient Diary
How can I help reduce healthcare associated infections? Infection control is important to the well-being of our patients and for that reason we have infection control procedures in place. Keeping your
More informationPatient Information Varicose Vein Surgery Dr Marek Garbowski. Varicose Veins
Contents: Welcome Varicose veins Our expectations Preadmission clinic The day of your operation In preparation of going home Discharge advice following varicose veins surgery Contacts Varicose Veins Welcome
More information